Differential Effects of Type 2 Diabetes Treatment Regimens on Diabetes Distress and Depressive Symptoms in the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE)

作者：Jeffrey S. Gonzalez, Ionut Bebu, Heidi Krause‐Steinrauf, Claire J. Hoogendoorn, Gladys Crespo-Ramos, Caroline Presley, Aanand D. Naik, Shihchen Kuo, Mary L. Johnson, Deborah J. Wexler, Jill P. Crandall, A. Bantle, Valerie Arends, Andrea Cherrington, Jill P. Crandall, M. Diane McKee, S. Behringer-Massera, J. Brown-Friday, E. Xhori, K. Ballentine-Cargill, S. Duran, H. Estrella, S. Gonzalez de la torre, J. Lukin, Lawrence S. Phillips, Elizabeth Burgess, Darin E. Olson, M. Rhee, Philip Wilson, T.S. Raines, J. Boers, J. Costello, M. Maher-Albertelli, R. Mungara, L. Savoye, C.A. White, C. Gullett, Leah Holloway, F. Morehead, S. Person, M. Sibymon, S. Tanukonda, Cynthia Adams, A. Ross, A. Balasubramanyam, Ruchi Gaba, E. Gonzalez Hattery, A. Ideozu, J. Jimenez, G. Montes, C. Wright, Priscilla Hollander, E. Roe, A. Jackson, A. Smiley, P. Burt, L. Estrada, K. Chionh, F. Ismail-Beigi, C. Falck-Ytter, L. Sayyed Kassem, Anil K. Sood, M. Tiktin, T. Kulow, C. Newman, K.A. Stancil, B. Cramer, J. Iacoboni, M.V. Kononets, C. Sanders, Lisa Tucker, A. Werner, A. Maxwell, G. McPhee, C. Patel, L. Colosimo, A. Krol, Robin Goland, J. Pring, L. Alfano, P. Kringas, C. Hausheer, J. Tejada, K. Gumpel, A. Kirpitch, H. Schneier, J.B. Green, H. AbouAssi, Ranee Chatterjee, Mark N. Feinglos, J. English Jones, S.A. Khan, J.B. Kimpel, R.P. Zimmer, M. Furst, B.M. Satterwhite, C.R. Thacker, K. Evans Kreider, Cary N. Mariash, Kieren J. Mather, H.M. Ismail, A. Lteif, M. Mullen, T. Hamilton, N. Patel, G. Riera, Merry Jackson, V. Pirics, D. Aguillar, D. Howard, S. Hurt, Richard M. Bergenstal, Anders L. Carlson, Thomas Martens, Matthew Johnson, R. Hill, J. Hyatt, C. Jensen, M. Madden, Dianna C. Martin, H. Willis, W. Konerza, S. Yang, K. Kleeberger, R. Passi, S. Fortmann, M. Herson, K. Mularski, Harry Glauber, J. Prihoda, B. Ash, C. Carlson, P.A. Ramey, E. Schield, B. Torgrimson-Ojerio, K. Arnold, B. Kauffman, E. Panos, S. Sahnow, K. Bays, K. Berame, Jennifer Cook, D. Ghioni, J. Gluth, K. Schell, J. Criscola, C. Friason, Steve Jones, С. А. Назаров, Joshua I. Barzilay, N. Rassouli, R. Puttnam, B. Ojoawo, R. Nelson, Michelle Curtis, B. Hollis, C. Sanders-Jones, K. Stokes, Z. El-Haqq, A. Kolli, Tú-Anh Tran, Deborah J. Wexler, Mary Larkin, James B. Meigs, B. Chambers, A. Dushkin, G. Rocchio, M. Yepes, Barbara Steiner, H. Dulin, M. Cayford, K. Chu, A. DeManbey, M. Hillard, Kimberly Martin, N. Thangthaeng, L. Gurry, R. Kochis, E. Raymond, V. Ripley, Christine Stevens, Jaebum Park, Vanita R. Aroda, Adline Ghazi, Michelle Magee, A. Ressing, A. Loveland, M. Hamm, Maria D. Hurtado, Alexander Kühn, J. Leger, L. Manandhar, F. Mwicigi, O. Sanchez, T. Young, Rajesh Garg, V. Lagari-Libhaber, H.J. Florez, W.M. Valencia, J. Marks, Sabina Casula, L. Oropesa-Gonzalez, L. Hue, A. Cuadot, R. Nieto-Martinez, A.K. Riccio Veliz, M. Gutt, Y.J. Kendal, B. Veciana, Andrew Ahmann, D. Aby-Daniel, F. Joarder, V. Morimoto, C. Sprague, D. Yamashita, N. Cady, N. Rivera-Eschright, P. Kirchhoff, B. Morales Gomez, J. Adducci, A. Goncharova, S.H. Hox, H. Petrovitch, M. Matwichyna, Victoria Jenkins, L. Broadwater, R.R. Ishii, N.O. Bermudez, Daniel S. Hsia, William T. Cefalu, Frank L. Greenway, C. Waguespack, E. King, G. Fry, A. Dragg, B. Gildersleeve, J. Arceneaux, Natalie Haynes, A. Thomassie, M. Pavlionis, B. Bourgeois, C. Hazlett, Sunder Mudaliar, Robert R. Henry, S. Boeder, Jeremy Pettus, E. Diaz, D. Garcia-Acosta, S. Maggs, C. DeLue, A. Stallings, E. Castro, S. Hernández, Jonathan Krakoff, Jeffrey M. Curtis, Tina Killean, Mohammed Khalid, E. Joshevama, E. Diaz, Dianna C. Martin, K. Tsingine, T. Karshner, Jeanine Albu, F.X. Pi-Sunyer, S. Frances, C. Maggio, E. Ellis, J. Bastawrose, Xiuqun Gong, Mary Ann Banerji, Phyllis August, Melissa Lee, Daniel Lorber, N.M. Brown, D.H. Josephson, L.L. Thomas, M. Tsovian, A. Cherian, M.H. Jacobson, M.M. Mishko, M.S. Kirkman, John B. Buse, Jamie Diner, J. Dostou, S. Machineni, Laura Young, K. Bergamo, A. Goley, J. B. Kerr, J.F. Largay, S. Guarda, J. Cuffee, D. Culmer, R. Fraser, H. Almeida, S. Coffer, E. Debnam, L. Kiker, Sarah U. Morton, K. Josey, G. Fuller, W. Timothy Garvey, A.L. Cherrington, D. Dyer, M.C.R. Lawson, O. Griffith, A. Agne, S. McCullars, Robert M. Cohen, J. Craig, M.C. Rogge, Kathryn Burton, K. Kersey, Charlton Wilson, S. Lipp, M.B. Vonder Meulen, C. Adkins, T. Onadeko, Neda Rasouli, C. Baker, Emily B. Schroeder, M. Razzaghi, Corey Lyon, R. Penaloza, C. Underkofler, R. Lorch, Sarah A. Douglass, S. Steiner, William I. Sivitz, E. Cline, L.K. Knosp, J. McConnell, T. Lowe, William H. Herman, Rodica Pop‐Busui, Meng H. Tan, C. Martin, A. Waltje, A. Katona, L. Goodhall, R. Eggleston, Shihchen Kuo, S. Bojescu, S. Bule, N. Kessler, E. LaSalle, K. Whitley, Elizabeth R. Seaquist, A. Bantle, T. Harindhanavudhi, Anjali Kumar, B. Redmon, John P. Bantle, M. Coe, M. Mech, A. Taddese, K. Lesne, Shannon D. Smith, Cyrus Desouza, L. Kuechenmeister, V. Shivaswamy, S. Burbach, M.G. Rodriguez, K. Seipel, A. Alfred, A.L. Morales, J. Eggert, G. Lord, W. Taylor, R. Tillson, David S. Schade, A. Adolphe, Mark R. Burge, E. Duran-Valdez, J. Martinez, A. Bancroft, S. Kunkel, F. Ali Jamaleddin Ahmad, D. Hernandez McGinnis, B. Pucchetti, E. Scripsick, A. Zamorano, Ralph A. DeFronzo, Eugênio Cersósimo, M. Abdul-Ghani, Curtis Triplitt, D. Juarez, M. Mullen, R.I. Garza, H. Verastiqui, K. Wright, Curtiss Puckett, Philip Raskin, C. Rhee, S. Abraham, L.F. Jordan, S. Sao, L. Morton, O. Smith, L. Osornio Walker, L. Schnurr-Breen, R. Ayala, R.B. Kreymer, D. Sturgess, K.M. Utzschneider, Steven E. Kahn, L. Alarcon-Casas Wright, Edward J. Boyko, E.C. Tsai, D.L. Trence, S. Trikudanathan, B.N. Fattaleh, B.K. Montgomery, K.M. Atkinson, A. Kozedub, Tessa Concepcion, C. Moak, N. Prikhodko, S. Rhothisen, T.A. Elasy, S. Martin, L. Shackelford, R. Goidel, N. Hinkle, C. Lovell, J. Myers, J. Lipps Hogan, Janet B. McGill, M. Salam, T. Schweiger, S. Kissel, Carol Recklein, M.J. Clifton, William V. Tamborlane, A. Camp, Barbara Gulanski, Silvio E. Inzucchi, Kim Pham, M. Alguard, P. Gatcomb, K. Lessard, M. Perez, L. Iannone, E. Magenheimer, A. Montosa, Judith Fradkin, Henry B. Burch, A.A. Bremer, David M. Nathan, John M. Lachin, H. Krause-Steinrauf, Naji Younes, Ionut Bebu, Nicole M. Butera, C.J. Buys, A. Fagan, Yuping Gao, Amerta Ghosh, M.R. Gramzinski, S.D. Hall, Elham Kazemi, E. Legowski, H. Liu, C. Suratt, Mark Tripputi, A. Arey, M. Backman, J. Bethepu, C. Lund, P. Mangat Dhaliwal, P. McGee, E. Mesimer, Lisa Ngo, Michael W. Steffes, Jesse C. Seegmiller, Amy K. Saenger, Valerie Arends, D. Gabrielson, T. Conner, S. Warren, John Day, J. Huminik, A. Scrymgeour, Elsayed Z. Soliman, Yashashwi Pokharel, Z.M. Zhang, C. Campbell, Jingbo Hu, Lisa Keasler, S. Hensley, Y. Li, Rada Mihalcea, D.J. Min, V. Perez-Rosas, Lisa A. Prosser, L. Resnicow, W. Ye, Hui Shao, P. Zhang, José A. Luchsinger, D. Sanchez, Stephanie Assuras, Erik J. Groessl, F. Sakha, H. Chong, N. Hillery, I. Abdouch, G. Bahtiyar, P. Brantley, F.E. Broyles, G. Canaris, Paul M. Copeland, J.J. Craine, W.L. Fein, A. Gliwa, L. Hope, M.S. Lee, R. Meiners, V. Meiners, H. O’Neal, J.E. Park, Alan Sacerdote, E. Sledge, L. Soni, J. Steppel-Reznik, Alexander Turchin, Sherita Hill Golden, Jeffrey S. Gonzalez, Aanand D. Naik, Elizabeth A. Walker · 发表于：Diabetes Care · 年份：2024 · DOI：10.2337/dc23-2459 · 被引用次数：14 · 研究领域：Diabetes Management and Education、Diabetes Management and Research、Diabetes Treatment and Management

OBJECTIVE: We evaluated whether adding basal insulin to metformin in adults with early type 2 diabetes mellitus (T2DM) would increase emotional distress relative to other treatments. RESEARCH DESIGN AND METHODS: The Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE) of adults with T2DM of <10 years' duration, HbA1c 6.8-8.5%, and taking metformin monotherapy randomly assigned participants to add insulin glargine U-100, sulfonylurea glimepiride, the glucagon-like peptide-1 receptor agonist liraglutide, or the dipeptidyl peptidase 4 inhibitor sitagliptin. The Emotional Distress Substudy enrolled 1,739 GRADE participants (mean [SD] age 58.0 [10.2] years, 32% female, 56% non-Hispanic White, 18% non-Hispanic Black, 17% Hispanic) and assessed diabetes distress and depressive symptoms every 6 months. Analyses examined differences at 1 year and over the 3-year follow-up. RESULTS: Across treatments, diabetes distress (-0.24, P < 0.0001) and depressive symptoms (-0.67, P < 0.0001) decreased over 1 year. Diabetes distress was lower at 1 year for the glargine group than for the other groups combined (-0.10, P = 0.002). Diabetes distress was also lower for liraglutide than for glimepiride or sitagliptin (-0.10, P = 0.008). Over the 3-year follow-up, there were no significant group differences in total diabetes distress; interpersonal diabetes distress remained lower for those assigned to liraglutide. No significant differences were observed for depressive ...